NU 610
Advanced Health Assessment
Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
Question: During a cardiovascular assessment, a nurse detects
a murmur over the mitral area. Which finding most likely
supports the diagnosis of mitral regurgitation?
A. A high-pitched diastolic murmur at the aortic area
B. A low-pitched rumbling sound at the apex
C. A holosystolic murmur radiating to the axilla
D. A friction rub heard during inspiration
ANS: C
©2025
, Rationale: Mitral regurgitation is typically associated with a
holosystolic murmur at the apex that radiates to the axilla due to
retrograde blood flow.
---
2. Fill-in-the-Blank
Question: The ____________ position is most appropriate for
auscultating lung sounds in the posterior chest during a
respiratory assessment.
ANS: sitting
Rationale: The sitting position allows optimal expansion of the
lungs and access to posterior lung fields for accurate auscultation.
---
3. True/False
Question: When palpating a patient’s abdomen, rebound
tenderness is indicative of peritoneal irritation.
ANS: True
©2025
, Rationale: Rebound tenderness, or pain upon releasing
pressure, is a hallmark sign of peritoneal irritation and requires
further investigation.
---
4. Multiple Response
Question: Which findings suggest a positive assessment for
deep vein thrombosis (DVT)? (Select all that apply)
- A. Calf pain upon dorsiflexion (Homan's sign)
- B. Swelling in one leg
- C. Bilateral leg edema
- D. Increased warmth and redness over the affected area
ANS: A, B, D
Rationale: Unilateral swelling, pain with dorsiflexion, and
localized warmth or redness are common findings in DVT.
Bilateral edema is more indicative of systemic causes.
---
5. Multiple Choice
©2025
, Question: Which percussion sound is expected over a patient’s
liver during abdominal assessment?
A. Resonance
B. Hyperresonance
C. Dullness
D. Tympany
ANS: C
Rationale: The liver is a solid organ, and percussion over it
produces a dull sound.
---
6. Fill-in-the-Blank
Question: In advanced health assessment, the ____________
reflex is tested by lightly stroking the lateral aspect of the foot and
observing for toe movement.
ANS: Babinski
Rationale: The Babinski reflex is elicited by stroking the foot
and is used to assess neurological function, with abnormal
extension of the toes indicating central nervous system
dysfunction.
©2025
Advanced Health Assessment
Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
Question: During a cardiovascular assessment, a nurse detects
a murmur over the mitral area. Which finding most likely
supports the diagnosis of mitral regurgitation?
A. A high-pitched diastolic murmur at the aortic area
B. A low-pitched rumbling sound at the apex
C. A holosystolic murmur radiating to the axilla
D. A friction rub heard during inspiration
ANS: C
©2025
, Rationale: Mitral regurgitation is typically associated with a
holosystolic murmur at the apex that radiates to the axilla due to
retrograde blood flow.
---
2. Fill-in-the-Blank
Question: The ____________ position is most appropriate for
auscultating lung sounds in the posterior chest during a
respiratory assessment.
ANS: sitting
Rationale: The sitting position allows optimal expansion of the
lungs and access to posterior lung fields for accurate auscultation.
---
3. True/False
Question: When palpating a patient’s abdomen, rebound
tenderness is indicative of peritoneal irritation.
ANS: True
©2025
, Rationale: Rebound tenderness, or pain upon releasing
pressure, is a hallmark sign of peritoneal irritation and requires
further investigation.
---
4. Multiple Response
Question: Which findings suggest a positive assessment for
deep vein thrombosis (DVT)? (Select all that apply)
- A. Calf pain upon dorsiflexion (Homan's sign)
- B. Swelling in one leg
- C. Bilateral leg edema
- D. Increased warmth and redness over the affected area
ANS: A, B, D
Rationale: Unilateral swelling, pain with dorsiflexion, and
localized warmth or redness are common findings in DVT.
Bilateral edema is more indicative of systemic causes.
---
5. Multiple Choice
©2025
, Question: Which percussion sound is expected over a patient’s
liver during abdominal assessment?
A. Resonance
B. Hyperresonance
C. Dullness
D. Tympany
ANS: C
Rationale: The liver is a solid organ, and percussion over it
produces a dull sound.
---
6. Fill-in-the-Blank
Question: In advanced health assessment, the ____________
reflex is tested by lightly stroking the lateral aspect of the foot and
observing for toe movement.
ANS: Babinski
Rationale: The Babinski reflex is elicited by stroking the foot
and is used to assess neurological function, with abnormal
extension of the toes indicating central nervous system
dysfunction.
©2025
